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Iowa rates for HCPCS J9205

Injection, irinotecan liposome, 1 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.13 / $83.13 / $229.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $66.65 / $142.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $71.59 / $95.06
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.97 / $79.09 / $136.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.25 / $80.50 / $110.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.26 / $72.65 / $283.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.06 / $97.92 / $128.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.44 / $83.48 / $127.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $130.79 / $137.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.00 / $67.98 / $78.54
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.41 / $71.41 / $71.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.41 / $71.41 / $71.41